MONIQUE THAMMAVONG (APRN, NP-C) – Family Nurse Practitioner, NPI 1275932253
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MONIQUE THAMMAVONG (APRN, NP-C)
209 POINTER TRL W STE A
VAN BUREN, AR 729562238
Phone: (479) 474-1100
Fax: (479) 471-1335
Type: Location
110 S 42ND ST
VAN BUREN, AR 729565614
Phone: (479) 420-1554
Type: Mailing
14 GOTHIC RIDGE RD
VAN BUREN, AR 729566565
Phone: (479) 474-1100
Type: Location
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 722114393
Phone: (479) 474-1100
Fax: (479) 471-1335
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,539.
Total Amount is formed as General ($1,539) + Research ($0) + Ownership ($0) = $1,539.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($492).
Total Amount
$1,539
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,539
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $492 |
| Amgen Inc. | $215 |
| AstraZeneca Pharmaceuticals LP | $158 |
| Phathom Pharmaceuticals, Inc. | $71 |
| Axsome Therapeutics, Inc. | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150123001756 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 261 | 103 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 130 | 84 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 69 | 69 | $0 |
| 83036 | Hemoglobin a1c level | 17 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 72956)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TN | |
| - | TX | |
| Nurse Practitioner | AR |
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